I injured my SI joint back about eighteen months ago. Most know my story. I have been to the Osteopath for manipulations, the Spine MD for Prolo and Trigger point injections, and the family DO for meds. This has been going on for eighteen months. Oh, yeah, I went to a chiro who did the McKenzie method and whacked my back.
So, I made an appointment with the physiatrist. I made sure that he had the right credentials and called and asked the sheduler to make sure that he was a physiatrist. She scheduled an appointment for today. I showed up and sure enough, it listed him as a physiatrist on the door.
Because our insurance only covers PPOs I asked again, 'does he do manipulations?". The girl at the desk freaked out. No, he only gives shots. She did say that they had a DO there that did manipulations. So, I had her look up his credentials. Yes, he is a physiatrist, but that just means, according to her, that he does shots. I was ready to pull my hair out. (OR HERS) I did set up an appointment for the third ESI shot, this time with the flouroscopy. She looks at me and says, : You know, it is like back in the old day, the hair dressers were called beauticians, then hair dressers, now stylists?" She said that he had the right to call himself anything that he liked. I wanted to take her and whack her upside the head. I think that it is a bait and switch if you think you are seeing someone that does manipuations and then you go in and they charge you and they don't do them. They should have a disclaimer on the door, "doesn't do manipulations", AKA, needle junkie.
She told me that I could see him today anyway, since I was there. Yeah, right, at $300, no way. What could he do? I was not there for a shot and he didn't do manipulations.
Then she looks at my chart and says, "I see that you already see a DO, why do you want to see the physiatrist?" I had to explain to her that the DO had referred me over. He said that the physiatrist had seven years of training in manipulations, past what a DO has. She looked at me with a very blank look on her face.
To preface this, this place is a spine center. Everyone there is specialized. Each treatment requires that you see a different doctor. I had already seen the Neuro and the DO there. If I wanted pain management, I would have to see someone else there and no one is PPO.
My husband was setting there during all of this. He said that he thinks that it is a racket. A clearing house for back patients. An insurance scam. They do take medical, state insurance, and work/car injuries at 100%.
I am not sure where to go next. I just want relief and not management.
Txhunni: None of them are with my PPO. I can see where it is confusing. I live in a retirement community, although we are not of retirement age. There is just a large population of retired people here so they cater to the retired or the very rich or the very poor. We happen to fall in the middle, which is rare where we live.
So, they cater to the community needs that are the most prevelant, Medicare, cash, or state aid. It is hard for us to find a PPO. We found two, a DO who does not do manipulations and a DO who does. The DO who doesn't, sent me to the DO who does. The DO who does, sent me to the spine center, who is not PPO, because the SI joint is not part of the spine. I have to pay cash. The Spine Center, who is not, is all al la carte, as you so aptly put it I love that, thank you.
But, when you call, they give you the run around. First you see the nurse practitioner, who goes over your chart to the tune of $200, and he decides who you should see (cash payment). He sent me to the DO/Physiatrist in his clinic, another cash payment, who again went over my chart, didn't even glance at my MRI, had me walk across the room, set up an ESI, and charged me. I had to cancel that shot as he only does them on certain days and I had to work. I had a spine doctor do it at another clinic (again, cash). So, I called to see this guy again, this time for manipulations, which lead to yesterday's post. The Physiatrist doesn't do manipulations, you have to see another guy at the clinic. Today I am calling the news paper where he advertizes and let them know that he is advertizing a service that he does not do.
So, last night, at $14 a pop, I went on line and researched these doctors. Every doctor in town that advertizes as a pain doctor, in these clinics, has had their operating rights taken away. This is why they only do shots, pain management, and only some do manipulations. But, there is no way to expose them. One of the other doctors, a friend, told me about them before I researched them. He had warned me about why they are now only pain management docs.
Pretty darn confusing and the stress is playing havoc with my back. No wonder I am back on Xanax.
I am beginning to think that the back issue is a racket and the doctors are getting rich off of the backs of the confused.
Good night, gertrude! That is so confusing that I read it twice and still am not sure of what it said, lol. Betty, need I say that you should never darken their doors again? And who referred you there? I wouldn't see them again, either. What to do, what to do?
I'm so sorry this is turning out to be so difficult for you. I sure hope you find what you are after very soon.
Wasn't it you that had the cysts on your back? I was doing some research the other day and I thought of you. I wished I had marked the site, but of course I didn't. But if I'm not mistaken, I was looking through the symptoms of arachnoiditis. Just wondering if you have done any research on it, if of course I am thinking of the right person.
Yep, I have cysts. I am going to have them removed. I can't find one doctor who can decide on what they are, only that they are there. Thanks for thinkinga about me, I will look into it. I am seeing the DO tomorrow for manipulations, the one who sent me to see the physiatrist, not from the place where they have no idea what they are doing. I am also going to ask for another MRI and a urine test because I have a kidney infection and I saw where the kidneys are right where my back has been hurting.
[FONT=Tahoma]To become a physiatrist, individuals must successfully complete four years of graduate medical education and four additional years of postdoctoral residency training. Residency training includes one year spent developing fundamental clinical skills and three additional years of training in the full scope of the specialty. [/FONT]
This is why I was told to go see a physiatrist, they specialize beyond the PT or the DO. A MD can either go MD or DO, but a physiatrist is a specialized MD or DO.
My DO is trained in physical medicine, but not to the entent of the physiatrist. Even the PT is not trained this much, they only need nine months of schooling and not even a PHD. I have gone to PTs who are high school drop outs.
I think that if a physiatrist advertizes as a physiatrist, then they should specify, BEFORE and appointment, whether or not they do manipulations as that is what they are trained in. I would think that a average person, calling around, would figure that they would do manipulations. That is like a PT not doing therapy. But then, I went to see a chiropractor and he did the McKenzie Method, which was *not* on my referral or part of my therapy prescription and that is a whole other matter.
Sorry if I come off angry, I am just in a lot of pain and tired of the medical runaround that we get while the doctors try to pay their malpractice insurance up here.
okay, I read sites in regards to the condition, arachnoiditis, and now I know why I skipped that info last time, it is too scary to even think about. The weird part is, that is what I have been describing to my doctor for almost two years, I feel stuck, like I have scar tissue, but I didn't do anything to cause scar tissue until the Prolo. I am going to go with a *no* on this condition for me. Crossing my fingers
I think that if a physiatrist advertizes as a physiatrist, though, they should specify what they do and don't do when a person makes an appointment. I was almost out the cost of an appoinment with an non PPO. And, he is quite spendy.
From now on, I am going to ask for the office manager before making any appointments, anywhere and with anyone.